The clinical nurse leader notices that staff spend minimal time with a client who is terminally ill
with AIDS.
The client confides in the nurse leader that he is having intense emotional reactions to
his illness, sometimes feeling angry, sometimes afraid, sometimes feeling abandoned. As the nurse
leader considers how to approach the problem of client avoidance with staff, he can hypothesize that
the most likely reason for the staff's avoidance is
a. the need to use extra infection control precautions.
b. feelings of inadequacy in dealing with complex emotional needs.
c. knowledge that the client needs time alone with family and friends.
d. disapproval of the client's former high-risk lifestyle.
B
Many nurses tend to be more comfortable with meeting physical needs than in focusing on
emotional needs. Option A is not an acceptable answer because universal precautions are necessary
for all clients. Option C assumes friends and family are available to the client, which might not be
true. Option D assumes the client led a high-risk lifestyle, which might not be accurate.
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What is a nursing program considered when certified by a state agency?
a. Accredited b. Approved c. Provisional d. Exemplified
The nurse is administering captopril (Capoten) to a client with heart failure. What is the priority intervention for this client?
a. Administer this medication before meals to aid absorption. b. Instruct the client to ask for assistance when arising from bed. c. Give the medication with milk to prevent stomach upset. d. Monitor the potassium level and check for symptoms of hypokalemia.
A patient is admitted to the critical care unit with an acute head injury after a motor vehicle accident
The patient has a Glasgow Coma Scale score of 6 . The patient is intubated and ventilated, and a ventriculostomy is placed with physician orders to keep the ICP less than 15 mm Hg. The patient's ICP continues to rise despite aggressive intervention. Which of the following is an advantage of a ventriculostomy ICP monitoring system? a. Lower risk of infection b. Ease of insertion c. No penetration of brain d. Access for cerebrospinal fluid drainage and sampling
A parent of a child diagnosed with pinworms tells the nurse they are concerned about administering the prescription because it may be toxic. Which information should the nurse include in the teaching?
A. "Very little of the drug is absorbed into the system." B. "Severe infestations can result in malabsorption." C. "It is critical that you give this medication." D. "Many types of pinworms are resistant to treatment." E. "The child may be at an increased risk for immunosuppression."